Endonasal
DCR.
Finding Lasting Relief
Constantly watering eyes can be incredibly frustrating, getting in the way of everyday tasks like reading, driving, or simply socialising. For me, medical care is really all about the patients, not about me or my surgical ego. I want you to feel listened to and understood, so I can find out exactly what is bothering you and what you would like improved.
My first priority is to give you a safe space where your concerns are genuinely validated. We will look past the symptoms to find the root cause, ensuring that any treatment plan we create together is entirely focused on your comfort and well-being.
As an Ophthalmologist and triple-fellowship trained Oculoplastic Surgeon, my clinical focus includes the delicate tear drainage pathways of the face. An accurate diagnosis is absolutely vital, as only a small proportion of watery eyes is actually caused by a blocked tear duct. We will conduct a thorough evaluation to see if you are a candidate for Endonasal Dacryocystorhinostomy (DCR).
Endonasal DCR is a minimally invasive technique designed to bypass a blockage and restore normal tear drainage from inside the nose. We will openly discuss what this involves and what you can expect, ensuring you feel completely confident before making any choices. We will only move forward when you feel entirely ready and fully supported.
"True care means putting my ego aside to listen to what is bothering you, so that together we can safely restore the comfort and natural harmony of your eyes."
Dr. Swan KangYour Journey at a Glance
Understanding Endonasal DCR
An accurate diagnosis is the most important first step. Because only a relatively small number of watery eyes are caused by a physical blockage in the tear duct, we need to be absolutely certain before recommending surgery.
During your consultation, I will conduct a comprehensive evaluation. This includes reviewing your medical history and performing specific tests, such as gently syringing the lacrimal sac. We may also use imaging studies to confirm a narrowing or obstruction in the nasolacrimal system. This careful, individualised assessment ensures that Endonasal DCR is truly the right solution for your specific needs.
Preparation is straightforward, and our team will guide you through every step. You will need to provide us with a complete list of your current medications, any allergies, and relevant medical history.
I will give you detailed instructions on how to prepare in the days leading up to your surgery. This includes fasting requirements and guidelines on managing your usual medications. It is particularly important that any blood-thinning medications are paused prior to surgery, and we will coordinate exactly when and how to do this safely.
Before Surgery: You will be admitted to a private room on a day surgery ward. I will come and see you to answer any final questions and ensure you are comfortable. The nursing staff will take excellent care of you as the anaesthesia is administered.
During Surgery: The procedure takes about 45 to 90 minutes. Using a tiny endoscopic camera and specialised instruments, I access the blocked tear drainage pathway entirely through your nasal cavity. This allows for precise repair without making any incisions on your face.
After Surgery: You will be monitored closely in the recovery area until you are alert and comfortable. Some temporary nasal congestion or mild swelling is normal and will settle down. We will provide you with pain relief, instructions for nasal irrigation, and clear post-operative care guidelines before you head home.
The main benefit of the endonasal approach compared to traditional external DCR is the lack of visible facial scarring. It also generally offers a shorter recovery time and a lower risk of certain complications, allowing you to get back to a more comfortable quality of life.
However, all surgeries carry some level of risk. While generally very safe and highly successful, potential risks include bleeding, infection, and the formation of scar tissue or adhesions inside the nose. Persistent tearing can occasionally occur if the new pathway narrows, and rare complications include nasal crusting or a perforation of the nasal septum. We will discuss all of this openly during your consultation so you can make a fully informed decision.
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Cosmetic
5.0/5
"I was extremely happy with the service provided."
"They were quick to provide an appointment.
I received a clear picture of my situation and choices.
We had an open and friendly discussion."
"Dr. Swan Kang was very thorough with all my eye issues and went further to track down my glaucoma history with Moorfields NHS. She was very friendly, highly professional, and explained clearly what would be involved with the upper eyelid surgery. She spent a lot of time understanding my background health history. I was very happy with my first consultation appointment."
"Dr. Kang is a real professional and a good listener who takes the time to explain everything about your operation.
Also, her aftercare is second to none."
"Communication was excellent, and the procedure was explained in great detail. The follow-up was great, too."
"A highly professional, first-class practitioner. The advice, procedure, and aftercare could not have been better."
"An excellent surgeon with a kind, approachable personality."
"She was brilliant; she reassured me, and I felt instantly at ease."
"She was really helpful and explained the process and expectations. I am only three days post-op and am pleased with the results so far. I highly recommend her."
"Ms. Kang and her team, Frederick and Andres, were all exceptional. They were professional but friendly, and cheerful while remaining well within the bounds of professionalism. I found them to be very helpful and truly felt they all cared about how I was coping with the experience."
Functional
5.0/5
"Dr. Kang has been there with me every step of this journey. Thank you to her!"
"Dr. Kang took the time to explain what was about to happen and the expected results. She listened to my questions, responded thoroughly, and made sure I was comfortable with her feedback."
"Really great experience."
"Dr. Kang was incredibly thorough, understanding, and kind."
"Everything was very good."
"I had a very good experience.
I would recommend Miss Kang; she listens and explains instructions clearly."
"I had two appointments with Miss Swan Kang to treat a stubborn chalazion on my eyelid. Miss Kang diagnosed the lump and my eyelid skin condition using a microscope and carefully explained the mechanics of how the eyelid and meibomian glands work. The options for treatment were well elaborated. Miss Kang's medical approach is empathetic. I felt respected and trusted throughout the process. My condition improved after the first consultation, and no surgery was needed."
"Really impressed with Dr. Swan."
"Do not worry or be anxious; you will be in expert hands!"
"She is lovely and corrected more issues during my eye surgery than I knew were there. The follow-up was good."
"Everything was well organised and efficient."
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